Browsing by Author "Ephrem, Weldeyes"

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    Analysis of Inter Organizational Relation in Urban Health Extension Program Implementation through Policy Network Analysis: The Case of Addis Ababa, Ethiopia
    (Addis Ababa University, 2018-09) Ephrem, Weldeyes; Elias, Berhanu (PhD)
    Ethiopia‟s Urban Health Extension Program (UHEP) is an innovative government plan to ensure health equity by creating demand for essential health services through the provision of health information at a household level and access to services through referrals to health facilities. The ministry of health has realized there is need for cross-sectorial support for urban health to achieve such an ambitions policy objective. Despite the substantial progress achieved in the UHEP, there have been considerable challenges such as unsatisfactory and inadequate collaboration among sector offices having important roles in implementing UHEP. By the aforementioned problems and the methodological gap the study sought to analyze inter organizational relations in UHEP implementation through policy network analysis. The study utilized social network approach to provide network structure and positon of actors in resource sharing, coordination and partnership networks with in UHEP implementation. The findings were based on 64 sample organizations and reveal that on average UHEP implementation network had resource sharing relationships with 2.9% (low density) and worked in coordination with 27.9% (lower density) and in partnership with 16.2% (low density) of the other UHEP implementers in the network. In the network of resource sharing the most central or influential actor were Woreda Health Office (WHO) and Health Center (HC). The Sub City Health Office (SCHO) has designed as the most central actor in the coordination network by other organizations. Regarding the partnership network, WHO was the most prominent actor in the network. The study conclude that More organizations worked independently towards similar goals while being aware of others work (coordination), than organizations working together as a formal team (partnership). The study also recommended some points to improve inter organizational relation in UHEP implementation such as policy maker should Create fluid boundaries and eliminate barriers for working across organizations, promote private health partnerships.